NPI | 1902338031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT222178) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101269913) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2021-07-05 |